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Despite reimbursement challenges, the healthcare industry is charged up about remote patient monitoring to manage chronic illness: two-thirds of respondents to HIN's 2015 Telehealth and Telemedicine survey monitor high-risk patients in this fashion.
Encouraged by early success in coaching 23 patients to wellness at home via remote monitoring, CHRISTUS Health expanded its remote patient monitoring (RPM) enrollment to 170 high-risk, high-cost patients.
At that scaling-up juncture, the challenge for CHRISTUS shifted to balancing its mission of keeping patients healthy and in their homes with maintaining revenue streams sufficient to keep its doors open in a largely fee-for-service environment.
Remote Patient Monitoring for Chronic Condition Management: Leveraging Technology in a Value-Based System
chronicles the evolution of the CHRISTUS RPM pilot, which is framed around a Bluetooth®-enabled monitoring kit sent home with patients at hospital discharge.
This 25-page report reviews the multi-state and international integrated delivery network's impressive early returns in cost of care, 30-day readmission rates and patient satisfaction from remote patient monitoring, as well as the challenges of program expansion.
In this resource, Luke Webster, MD, vice president and chief medical information officer for CHRISTUS Health, and Shannon Clifton, director of connected care, CHRISTUS Health, describe the daily RPM program's eligibility criteria and workflows as well as resulting clinical, financial and quality benefits.
This resource covers the following:
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Identification and stratification of CHRISTUS Health patients for RPM;
- In-hospital deployment of remote patient monitoring kit, including patient and staff training;
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Impact of RPM program expansion on care transition nurse staffing and workload;
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A close look at the daily monitoring phase;
- Phase one enrollment, outcomes, average cost of care and ROI;
- Maximizing success from remote patient monitoring in a largely fee-based industry;
- Opportunities to leverage RPM technology as healthcare moves toward a value-based sensibility;
- Realities of the evolving mHealth market;
and much more, including insight into care plan development, provider engagement and future expansion plans.
Table of Contents:
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Remote Patient Monitoring for Chronic Condition Management
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CHRISTUS Health Remote Monitoring Pilot
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The Daily Monitoring Phase
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In-Hospital Training for Patients
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Program Success Indicators
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Remote Monitoring Challenges in Value-Based Reimbursement Climate
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Ideas to Leverage Remote Monitoring Technology
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Sustaining RPM Initiatives to Meet Future Needs
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Uncertainty of mHealth
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Q&A: Ask the Experts
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Staffing for Remote Patient Monitoring
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Risk Stratification Rules and Parameters
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Care Plan Customization
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Staff Training and Background
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Patient Education Curriculum
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In-Hospital Training
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Scenarios for Program Extension
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Engaging the Patient’s Provider
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Trends in Chronic Care Management Reimbursement
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Glossary
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For More Information
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About the Contributors
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